| NPI | 1255494605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 235593) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 235593) |
| 208000000X Pediatrics (Licence: NY 235593) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-03-26 |